Provider Demographics
NPI:1215486725
Name:STRIESFELD, MALLORY M (LPC)
Entity type:Individual
Prefix:MRS
First Name:MALLORY
Middle Name:M
Last Name:STRIESFELD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9235 KATY FWY STE 140
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1519
Mailing Address - Country:US
Mailing Address - Phone:832-895-9358
Mailing Address - Fax:832-777-3218
Practice Address - Street 1:2500 WILCREST DR STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-2754
Practice Address - Country:US
Practice Address - Phone:832-789-3725
Practice Address - Fax:832-777-3218
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-26
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202439106H00000X
TX73192101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist